Active NPI
Devon A Mathews, CADCII
- Addiction (Substance Use Disorder) Counselor
- Tigard, OR
National Provider Identifier
1821212713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 041158
- Practice address
- 11945 SW Pacific Hwy
#113
Tigard, OR 97223-6469 - Phone
- (503) 684-8159
- Fax
- (503) 598-0934
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 041158 | OR | Primary |
Addresses
Primary practice location
11945 SW Pacific Hwy
#113
Tigard, OR 97223-6469
Mailing address
19345 Robin Cir
#84
West Linn, OR 97068-2386
Phone (503) 635-2088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041158 | OR | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821212713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19345 ROBIN CIR",
"address_2": "#84",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970682386",
"telephone_number": "503-635-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11945 SW PACIFIC HWY",
"address_2": "#113",
"city": "TIGARD",
"state": "OR",
"postal_code": "972236469",
"telephone_number": "503-684-8159",
"fax_number": "503-598-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "DEVON",
"middle_name": "A",
"credential": "CADCII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "041158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.